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Patients with rheumatoid arthritis (RA) who were obese were significantly less likely to remain on treatment with tumor necrosis factor (TNF) inhibitors -- but so were those who were underweight, a large, long-term study determined. Compared with patients with normal weight, patients in obesity class II, whose body mass index (BMI) was 35 to 39.9, had a hazard ratio for shorter drug survival (i.e., the drug's effectiveness, safety, and
Literature review suggests that TNF inhibitors are safe to use in NAFLD and may show a beneficial effect on hepatic tiss

Dr. John Cush RheumNow

6 years 2 months ago
Literature review suggests that TNF inhibitors are safe to use in NAFLD and may show a beneficial effect on hepatic tissue. TNFi should be prescribed with caution in patients w/ cirrhosis as the data are conflicting. https://t.co/uynkNNCxdt
Retrospective cohort of 147 Adult-Onset Stills Dz pts finds 18 (12.3%) with lung dz (LD) at the diagnosis of AOSD. AOSD

Dr. John Cush RheumNow

6 years 2 months ago

Retrospective cohort of 147 Adult-Onset Stills Dz pts finds 18 (12.3%) with lung dz (LD) at the diagnosis of AOSD. AOSD-LD were older, w/ more myalgia, LN, pleuritis, ab,dominal pain, more systemic Dz, higher ferritin and more mortality (%39 vs 10%). https://t.co/2phEFwi6n2

CORRONA: 477 axSpA pts showed 25% having enthesitis (3.9 sites) at enrollment. Enthesitis pts were more likely to be fem

Dr. John Cush RheumNow

6 years 2 months ago
CORRONA: 477 axSpA pts showed 25% having enthesitis (3.9 sites) at enrollment. Enthesitis pts were more likely to be female w/ nonradiographic axSpA, more likely to be Rx w/ biologic or DMARD; & Overall - had more disease activity (TJC, SJC, ASAS,BASDAI) https://t.co/weQC798mck
A recent study from the Netherlands has shown that patients with severe COVID-19-associated cytokine storm syndrome (CSS)  with high dose steroids and tocilizumab had a faster recovery, less need for invasive mechanical ventilation and fewer deaths when compared to CSS patients receiving supportive care only. They studed COVID-19 patients with CSS, defined as rapid respiratory deterioration plus at least two of the following
One-third of hospitalized COVID-19 patients have evidence of pulmonary embolism by CT scan. Retrospective study 1477 hos

Dr. John Cush RheumNow

6 years 2 months ago
One-third of hospitalized COVID-19 patients have evidence of pulmonary embolism by CT scan. Retrospective study 1477 hospitalized COVID-19 pts; diagnostic yield of Chest CT for PE was 37%, w/ higher Ddimer in PE pts. https://t.co/jxy7FF5143
45 yr adult male w/ Kawasaki-like multisystem inflammatory syndrome w/ COVID-19 infx: presented w/ 6d fever, sore throa

Dr. John Cush RheumNow

6 years 2 months ago
45 yr adult male w/ Kawasaki-like multisystem inflammatory syndrome w/ COVID-19 infx: presented w/ 6d fever, sore throat, diarrhea, LN, BLE pain, conjunctivitis, tachycardia, ESR 120, CRP 546 mg/L, high Troponin; Rx and resolved w/ IVIG & TCZ https://t.co/cyRBJccKop
The IMMerge trial has demonstrated the superiority of interleukin (IL)‐23 over IL-17A inhibition adults with plaque psoriasis.
Inflammatory events following infection with SARS-CoV-2 can often worsen the morbid or mortal outcomes with COVID, yet it has been unclear if glucocorticoids may modulate inflammation-mediated damage and lung injury.  The RECOVERY trial reports that dexamethasone (DEX) use lowered 28-day mortality among COVID-19 patients requiring respiratory support. The RECOVERY trial was performed in the UK and enrolled hospitalized COVID-19
Single center retrospective Korean study of 1280 Ankylosing Spondylitis patients (595 exposed to TNFi) showed that TNFi

Dr. John Cush RheumNow

6 years 2 months ago
Single center retrospective Korean study of 1280 Ankylosing Spondylitis patients (595 exposed to TNFi) showed that TNFi was associated with significantly decreased Xray change rate (mSASSS) (β=−0.112, p=0.004). https://t.co/W4j0Ckt0R2
Pain management in knee osteoarthritis (OA) is confounded by studies showing less is equal to usual standards of care. A recent trial showed that meloxicam was superior to placebo or cognitive behavioral therap (CBT); although the differences were small. 
Genotyping and microbiota data TwinsUK study (excluding RA) shows that Prevotella spp were positively assoc with RA risk

Dr. John Cush RheumNow

6 years 2 months ago
Genotyping and microbiota data TwinsUK study (excluding RA) shows that Prevotella spp were positively assoc with RA risk; further validated by first-degree relatives of RA patients where Prevotella was assoc w/ HLA-DRB1 & preclinical arthritis. https://t.co/7i2NNi7iip
Bisphosphonate therapy may be protective against radiographic knee OA progression in early‐stage patients (KL grade 

Dr. John Cush RheumNow

6 years 2 months ago
Bisphosphonate therapy may be protective against radiographic knee OA progression in early‐stage patients (KL grade < 2) (HR 0.53), especially non-obese. Study from 1977 women in the Osteoarthritis Initiative. https://t.co/tZhovfMWTh
RT @NEJM: A randomized controlled trial testing dexamethasone for Covid-19 (the RECOVERY trial) showed that, compared wi

NEJM NEJM

6 years 2 months ago
A randomized controlled trial testing dexamethasone for Covid-19 (the RECOVERY trial) showed that, compared with usual care, this corticosteroid drug reduced 28-day mortality in hospitalized patients. #COVID19 #SARSCoV2
RT @DrMAUrsani: #Texas we REALLY need to #WearAMaskSaveALife ... 6 patients of mine have tested positive for #COVID19 i

Mohammad A. Ursani MD, RhMSUS DrMAUrsani

6 years 2 months ago
#Texas we REALLY need to #WearAMaskSaveALife ... 6 patients of mine have tested positive for #COVID19 in the last week. #MedTwitter @rheum_covid @COVID19Tracking
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